You are on page 1of 2

FORM STATEMENT OF ORGANIZATION FOR OFFICE USE ONLY

D-1 PLEASE TYPE OR PRINTIN BLACK INK


ECEIVED
Full name and complete mailing address of Political Committee:
APR 1 0 2024
Committee for the Recall of Chicago CHECK FOR ADDRESS CHANGE
Office of Mayor. State Board of Elections
Springfield Office
712 N Broadway #456
Chicago, IL 60613
POLITICAL COMMITTEE
IDENTIFICATION #
CHECK HERE TO RECEIVE REPORT NOTIFICATIONS VIA E-MAIL ONLY

E-MAIL ADDRESS: recaIIthisfalIgmaiLcom #3c1% It


SEE PAMPHLET "A GUIDE TO CAMPAIGN DISCLOSURE" FOR GUIDANCE
NEW COMMITTEE (MUST BE FILED WITHiN 10 DAYS OF CREATION, OR WITHIN 2 DAYS IF CREATED WITHIN 30 DAYS
BEFORE AN ELECTION)

1 0 AMENDMENT (MUST BE FILED WITHIN 10 DAYS OF CHANGES. ENTER ONLY THOSE CHANGES FROM LAST D-1 ON FILE.)

O REACTIVATING

AMOUNT OF FUNDS AVAILABLE AS OF


2 DATE COMMITTEE CREATED: 4/8/24

POLITICAL COMMITTEE DESIGNATION (All. COMMITTEES CHOOSE ONLY ONE)


0 CANDIDATE POLITICAL COMMITrEE*
*For purposes of contribution limits and reporting requirements, a Candidate Political Committee supporting a candidate for multiple
offices elected at different elections must designate an election cycle by listing the office currently sought.
This office is:

4 0 POLITICAL ACTION COMMITTEE

0 POLITICAL PARTY COMMITTEE


BALLOT INITIATIVE COMMITTEE

O INDEPENDENT EXPENDITURE COMMITTEE


POUTICAL COMMITTEE'S AREA OF ACTiVITY, SCOPE, AND PARTY AFFILIATION
A. THIS COMMITTEE WILL PRIMARILY OPERATE IN THE FOLLOWING COUNTIES OR DISTRICTS (if operating statewide or supporting/opposing
statewide candidates or ballot initiatives, leave blank):

5
B. POLITICAL PARTY AFFILIATION:

PURPOSE OF THE POLITICAL COMMITTEE


6
to place a binding referendum on the FaII2024 Ballot that seeks to establish a recall mechamism for the Chicago Office of Mayor.

7 CANDIDATE(S) THE COMMITTEE IS SUPPORTING OR OPPOSING (IF AMENDING, LIST ALL AS OF TODAY'S DATE.)
NAME AND ADDRESS SUPPORT OPPOSE OFFICE PARTY

EID
IF MORE SPACE IS NEEDED, PLEASE ATTACH ADDITIONAL SHEETS.
COMMITTEE NAME: POLITICAL COMMITTEE ID #:
Committee for the Recall of Chicago Office of Mayor. 3j( (I
8I REQUIRED COMMITIEE OFFICERS:
POSITION NAME ADDRESS, PHONE NUMBER, AND E-MAIL ADDRESS
3600 N. Lake Shore Drive #5O8Chicago IL 60613
CHAIR Da nie1 C Boianu 7735190056 rockboI582gmaiI.com

3600 N. Lake Shore Drive #508Chicago IL 60613


TREASURER Da'e'
Ii IC B"
jian'u 7735190056 rockboI582gmail.com
9 IP0S1T10N, NAME AND ADDRESS OF EACH CUSTODIAN OF THE COMMI1TEE'S ACCOUNTS (IF DIFFERENT THAN OFFICERS)
POSITION NAME ADDRESS, PHONE NUMBER, AND E-MAIL ADDRESS

101 FINANCIAL INSTITUTIONS AND OTHER REPOSITORIES OF COMMITTEE FUNDS


NAME ADDRESS AND PHONE NUMBER
3639 N Broadway, Chicago, IL 60613
ByLine Bank
DISPOSITION OF RESIDUAL FUNDS IN THE EVENT OF DISSOLUTION OR TERMINATION OF THE COMMITFEE
0 RETURN TO CONTRIBUTORS IN AMOUNTS NOT TO EXCEED THEIR INDIVIDUAL CONTRIBUTIONS
0 TRANSFER TO ANOTHER POLITICAL COMMITTEE:
TRANSFER TO A CHARITABLE ORGANIZATION: The Mercy Home for Boys and Girls.

IF MORE SPACE IS NEEDED. PLEASE A1TACH ADDITIONAL SHEETS


VERIFICATION: BALLOT INI11ATIVE COMMITTEE ONLY
I DEClARE THAT THIS BALLOT INITIATIVE COMMITTEE IS FORMED FOR THE PURPOSE OF SUPPORTING OR OPPOSING A QUESTION OF PUBUC POliCY. ALL CONTRIBUTIONS AND EXPENDITURES OF
THE COMMITTEE WILL BE USED FOR THE PURPOSE DESCRIBED IN THIS STATEMENT OF ORGANIZATION. THE COMMITTEE MAY ACCEPT UNUMITED CONTRIBUTIONS FROM ANY SOURCE. PROVIDED
THAT THIS BALLOT INITIATIVE COMMITTEE DOES NOT MAKE CONTRIBUTIONS OR EXPENDITURES IN SUPPORT OF OR OPPOSITION TO A CANDIDATE OR CANDIDATES FOR NOMINATION FOR
ELECTION, OR RETENTION, AND FAILURE TO ABIDE BYTHESE REQUIREMENTS SHALL DEEM THIS COMMITTEE IN VIOLATION OF THIS ARTICLK(iO ILCS 5/9).

PRINTED AND WRITTEN SIGNATURE OF COMMITtEE CHAIR ,, - ' DATE ) 2)


VERIFICATION: INDEPENDENT EXPENDITURE COMMITTEE ONLY
I DECLARE THAT (I) THIS INDEPENDENT EXPENDITURE COMMITFEE IS FORMED FOR THE EXCLUSIVE PURPOSE OF MAKING INDEPENDENT EXPENDITURES, (ii) ALL CONTRIBUTIONS AND
EXPENDITURES OF THE COMMITTEE WILL BE USED FOR THE PURPOSE DESCRIBED IN THIS STATEMENT OF ORGANIZATION, (iii) THE COMMITTEE MAY ACCEPT UNLIMITED CONTRIBUTIONS FROM
ANY SOURCE, PROVIDED THAT THE INDEPENDENT EXPENDITURE COMMITTEE DOES NOT MAKE CONTRIBUTIONS TO ANY CANDIDATE POLITICAL COMMITTEE, POLITICAL PARIY COMMITTEE, OR
POLITICAL ACTION COMMITTEE, AND (iv) FAILURE TO ABIDE BY THESE REQUIREMENTS SHALL DEEM THE COMMITTEE IN VIOLATION OF THIS ARTICLE (10 ILCS 5/9).

PRINTED AND WRITtEN SIGNATURE OF COMMITtEE CHAIR DATE


VERIFICATION: AU. POLI11CAL COMMITTEES
I DECLARE THAT THIS STATEMENT OF ORGANIZATION (INCLUDING ANY ACCOMPANYING SCHEDULES AND STATEMENTS) HAS BEEN EXAMINED BY ME AND, TO THE BEST OF MY KNOWLEDGE AND
BELIEF, ISA TRUE, CORRECT, AND COMPLETE STATEMENT OF ORGANIZATION AS REQUIRED BY ARTICLE 9 OF THE ELECTION CODE. I UNDERSTAND THAT WILLFULLY FlUNG A FALSE OR IMCOMPLETE
STATEMENT OF ORGANIZATION IS SUBJECT TO A CIVIL PENALTY OF AT FAST $1,001 AND UP TO $5,000.

PRINTED AND WRI1TEN SIGNATURE OF TREASURER OR CANDIDATE DATE


THE ILLINOIS STATE BOARD OF ELECTIONS REQUIRES THE DISCLOSURE OF INFORMATION THAT IS NECESSARY IF YOU QUAliFY AS A POLITICAL COMMITTEE AS OUTUNED UNDER PUBliC ACT 78-
1183. WILLFUL FAILURE TO FILE OR WILLFUL FILING OF FALSE OR INCOMPLETE INFORMATION REQUIRED BY THIS ARTICLE SHALL CONSTITUTE A BUSINESS OFFENSE SUBJECT TO A FINE OF UP TO
$5,000. THIS FORM IS IN COMPLIANCE WITH THE FORMS MANAGEMENT PROGRAM ACT.

ALL POLITiCAL COMMITTEES RETURN TO:


STATE BOARD OF ELECTIONS STATE BOARD OF ELECTIONS
2329 S MaCARTHUR BLVD 69W WASHINGTON ST, STE LL-08
SPRINGFIELD, IL 62704-4503 CHICAGO, IL 60602-3026

FAX: 217-782-5959
FAX: 312-814-6485

You might also like